Laurie's review Flashcards

1
Q

Can torsades be cardioverted?

A

no defibrilated

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2
Q

What are the three requirements for reentry?

A

fast pathway
slow pathway
extra stimulus

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3
Q

What is life threatening with WPW?

A

A. fib

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4
Q

What is an indication for an ICD?

A

VT, VF

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5
Q

What is considered sustained VT?

A

> 30 seconds

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6
Q

What is the treatment for triggered VT (Torsades)?

A

Mg ++

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7
Q

What’s the survival rate for Sudden Cardiac Death?

A

20%

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8
Q

What does ICD stand for?

A

Implantable Cardioverter defibrillator

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9
Q

Where does automaticity happen and why?

A

phase 4
metabolic disturbances
electrolyte imbalances

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10
Q

What is a sensed refractory period?

A

The measure of time after an intrinsic impulse to inhibit shocking

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11
Q

What is a bin used for?

A

To measure the amount of intervals

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12
Q

What is the nominal amount of intervals in a bin?

A

12

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13
Q

What does HV stand for in ICDs?

A

High Voltage Shock

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14
Q

Everything in an ICD is programmed by what?

A

Rate

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15
Q

What does B stand for on pacing channel?

A

Bradycardia pacing

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16
Q

What does S stand for on pacing channel?

A

Sinus Rhythm

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17
Q

What happens when the bin is full?

A

Therapy is delivered

18
Q

What does the stars or dots on the EGM represent?

A

battery charging

19
Q

What is redetection?

A

After delivers therapy it reanalyzes the rhythm

20
Q

Whats the difference between defibrillation and cardioversion?

A

Cardioversion is a lower number of joules

21
Q

Describe the pulse width and voltage of the therapy

A

30-36J

10 - 20 ms

22
Q

What is the max output of an ICD?

A

36J

23
Q

What is the biggest unit in the ICD?

A

Capacitor

24
Q

What does the capacitor due?

A

Stores the energy

25
Q

What is reformation?

A

Periodically recharging the battery

26
Q

What is ERI?

A

Elective Replacement Indicator

27
Q

What are the two components of an ICD?

A

Capacitor

Battery

28
Q

What is noncommited therapy?

A

The charge can be aborted if the rhythm is spontaneously converted to SR

29
Q

What is non comited therapy?

A

The charge can be aborted if the rhythm is spontaneously converted to SR

30
Q

True or False

Stored energy is always greater than delivered

A

True

31
Q

What is biphasic pulse?

A

shocks from the can to the lead and back along the same vector

32
Q

What is biphasic pulse?

A

shocks from the can to the lead and back along the same vector

33
Q

What is the normal programmable vector for shocking?

A

classic Triade

34
Q

What is ATP?

A

overdrive pacing

35
Q

What is burst pacing?

A

a single series of sequential, rapid, paced, stimuli

36
Q

What is ramp pacing?

A

Each stimuli in overdrive pacing is increased

37
Q

What are the advantages of ATP?

A

no charge time

38
Q

What is a normal EF?

A

55-65%

39
Q

What is the normal O2 level in the LV?

A

95%

40
Q

What is the first phase of Ventricular systole?

A

isovolumetric contraction

41
Q

What is the dicrotic notch?

A

closure of the aortic valve

42
Q

What is the normal O2 level in the RV?

A

65%